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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Robotic mitral valve replacement; results from the world's largest series
Gokhan Arslanhan1, Sahin Senay2, Muharrem Kocyigit3
1Department of Cardiovascular Surgery, Acıbadem Maslak Hospital, Istanbul, Turkey.
Annals of Cardiothoracic Surgery
|October 14, 2022
Summary
Robotic mitral valve replacement (MVR) is a feasible surgical approach, demonstrating good early clinical outcomes. Many patients undergoing robotic MVR also require additional cardiac procedures.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic mitral valve replacement (MVR) is an evolving surgical technique.
- Evaluating the clinical outcomes of robotic MVR is crucial for its adoption.
Purpose of the Study:
- To assess the feasibility and early clinical outcomes of robotic mitral valve replacement (MVR).
- To analyze perioperative variables and postoperative results in patients undergoing robotic MVR.
Main Methods:
- A retrospective analysis of 117 consecutive patients who underwent robotic MVR between January 2010 and April 2022.
- Procedures were performed using Da Vinci Robotic Systems by a single surgical team.
- Perioperative data and early clinical outcomes were meticulously recorded.
Main Results:
- The study included patients with a mean age of 57.1 years and a mean EuroScore II of 5.1.
- 53.0% of patients underwent combined cardiac procedures alongside MVR.
- Low rates of postoperative stroke (0.9%) and new-onset renal failure (1.7%) were observed, with an overall early mortality of 2.6%.
Conclusions:
- Robotic mitral valve replacement (MVR) is a viable and safe procedure.
- Good early postoperative outcomes can be achieved with robotic MVR, even in complex cases requiring additional procedures.
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